Healthcare Provider Details

I. General information

NPI: 1841153889
Provider Name (Legal Business Name): ALPHA HEALTH & WELLNESS DPC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 EMERYWOOD DR STE A
CHARLOTTE NC
28210-4591
US

IV. Provider business mailing address

1433 EMERYWOOD DR STE A
CHARLOTTE NC
28210-4591
US

V. Phone/Fax

Practice location:
  • Phone: 980-949-6000
  • Fax: 980-949-8081
Mailing address:
  • Phone: 980-949-6000
  • Fax: 980-949-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MS. LESLIE ANN WARE
Title or Position: OWNER
Credential:
Phone: 704-208-6549